Contract Details
Ancillary Care Services
Facility name
Norpro Orthotics & Prosthetics
Provider ID
P000004043
NPI
1215973110
Tax ID
650425536
Effective Date
4/1/2012
Last Updated
10/2/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
2201 South 25th Street Unit 2201
Fort Pierce, FL 34947
United States
County
Saint Lucie
Phone
5616277727 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Orthotics/Prosthetics, Services
Map
Address